Individual
HAESIK MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
52 HAVEN ST, READING, MA 01867-2929
(781) 944-2050
Mailing address
52 HAVEN ST, READING, MA 01867-2929
(781) 944-2050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
79859
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3129250
—
MA
Enumeration date
07/10/2006
Last updated
04/01/2014
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